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HomeMy WebLinkAboutFilled Land Affidavit i $T LUCIE,cC UNTY . ' 2300 V7 6MX AVENUE FORT PIERMAL34§'92-5652- 772-460-15531 49$2-5652772-4601553! 4 i i • �. i .� QC4#?Qi1 I S, the iinde rsjgned,am,the owmer of the following describedproIj perty: Fj �t?5 } Part: of 34].4-501--1'70:1 O:on19.: s6c' ion '26, •.`Towns'hio !'36s ' &• Rahn-4 4O.E (Tax W/L eIgW descirip6 nlAddress) I for whicb Ihave applied to St.Dscid County for..aFinal Development Permitdln acceoting Ibis Ffnal.Development.Pexmit,BP Number ;I;acic lowledge that as.owcter of the above described property,and in,accordance'with,sectm*o:04.01(l );St.tj ucie County Land Development Code,I shall be responsible for assuring adequate drainage:so that the immedilte community'WILL`i`S{3�be adversely affected. I farther acknowledge,thatin granting this,pez nit fpr the cievelgptnent of:tbisproperty;st.Lucie County is neither bbliged i azar liable.to provide for,or.main'tai ri.m any form, adequata;c3xaina'ge off y propecty which 'will not adversely affect the iir mecZate.co nfaiinity. i Matth•e•w Lyle Wynne Property Owner Name Property Owner Sigziat'Ure D� to. I STATE OF OLORIDA,COUNTY OP•s t: ACKNOWLE CM BEFORE ME Tf![S DAY QF . 20 I By M a-t t h o w: L VI a .Wyn n'e ciF{O'XS P&RSONALL Y.KNOwN•TOUE OR,W90 WAW i PIZ Ucto may' kt AS MtNTIKCA710N. ` Lpapu SIGTU'RE OF NOTARY TYPE-OR PRINT NA3�fEr' NO IAR N'AY i I � (SEArr) NOTARY'Pu is^ flTLE. COMivttBSYONNkIMB ` . • Notary Putilie5tate.oftloride Julie N3riassi y; <' My.commission,GG 038942 l Expires 10116020 w . � I